Waterford On South Hill Limited Partnership

NPI 1093107328 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1093107328
Enumeration Date 02/24/2015
Last Updated 04/21/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BRIAN E BRIAN
Position EXECUTIVE VICE PRESIDENT
Phone (509) 536-2929
Fax (509) 536-3999
Practice Location
2929 S WATERFORD DR
SPOKANE WA, 99203-4400, US
Phone (509) 536-2929
Fax (509) 536-3999
Business Location
5150 SW GRIFFITH DR
BEAVERTON OR, 97005-2935, US
Phone (503) 646-5186
Fax (503) 644-3568
Toxanomy
Taxonomy Code 363L00000X
License State Washington
License Number AP60204231
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According to our database, Waterford On South Hill Limited Partnership NPI is 1093107328, taxonomy code is 363L00000X and license number is AP60204231, license state is located at Washington. Waterford On South Hill Limited Partnership physically located at 2929 S Waterford Dr, Spokane WA, 99203-4400. NPI Number 1033115704 has the healthcare provider type.

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1093107328 NPI number is provided on an as is basis without warranty of any kind. 1093107328 is maintained by the National Plan & Provider Enumeration System. The contents of Waterford On South Hill Limited Partnership are for informational purposes only.